Characterizing SARS-CoV-2-specific Immunity in Individuals Who Have Recovered From COVID-19

NCT ID: NCT04403880

Last Updated: 2026-01-12

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

760 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-05-13

Study Completion Date

2022-04-21

Brief Summary

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The purpose of this study is to learn more about infection with and recovery from the virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Some people know this virus by the name "coronavirus." It can cause the disease called COVID-19.

The information gained from the study will be used to help develop better tests for SARS-CoV-2 infection and COVID-19 disease and may help in developing future vaccines and treatments by allowing researchers to determine the difference between the body's immune response to natural SARS-CoV-2 infection and immunization with a SARS-CoV-2 vaccine.

Detailed Description

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This study aims to characterize the SARS-CoV-2-specific immunity in convalescent individuals.

The observational cohort study will include 3 groups, as described in the table below.

Participants will complete a minimum of one visit (1-8 weeks post resolution of COVID-19 OR 2-10 weeks post most recent positive SARS-CoV-2 test, if asymptomatic) and optional visits approximately 2 months, 4 months, and 1 year later. Participants diagnosed with SARS-CoV-2 infection at an optional follow-up visit may be contacted more frequently. Additional follow up visit(s) may be added over time in response to evolving information regarding SARS-CoV-2 infection and COVID-19.

Study visits may include physical examinations, medical history, questionnaires, pregnancy tests (for participants assigned female at birth), blood draws, optional nasal samples, and optional HIV testing.

Conditions

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SARS-CoV-2 COVID-19

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Group 1

Persons not hospitalized for COVID-19, without clinical spectrum or outcomes specified in group 3

* 1A: Persons with asymptomatic infection, ages 18 through 55, inclusive
* 1B: Persons with asymptomatic infection, age \> 55
* 1C: Persons with symptomatic infection (ie, COVID-19) ages 18 through 55
* 1D: Persons with symptomatic infection (ie, COVID-19), age \> 55

Sample collection

Intervention Type OTHER

* Optional nasal specimen(s)
* Blood collection

Group 2

Persons previously hospitalized for COVID-19, without clinical spectrum or outcomes specified in group 3

* 2A: Persons 18 through 55 years of age
* 2B: Persons \> 55 years of age

Sample collection

Intervention Type OTHER

* Optional nasal specimen(s)
* Blood collection

Group 3

Persons with specific clinical spectrums or outcomes, regardless of hospitalization history (eg, persons recovered after intubation, with prolonged viral shedding, with myocarditis/pericarditis, with rapid recovery from COVID-19, with a second positive SARS-CoV-2 RT-PCR test result after a negative result)

Sample collection

Intervention Type OTHER

* Optional nasal specimen(s)
* Blood collection

Interventions

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Sample collection

* Optional nasal specimen(s)
* Blood collection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 18 or older.
* Reports having had a positive test for SARS-CoV-2.
* Reports resolution of COVID-19 within 1-8 weeks of enrollment OR, if asymptomatic infection, reports positive SARS-CoV-2 test within 2-10 weeks of enrollment. Not excluded: individuals with symptoms consistent with residual sequelae of resolved COVID-19, in the clinical judgement of the investigator.
* Access to a participating HVTN or HPTN CRS and willingness to be followed for the planned duration of the study.
* Ability and willingness to provide informed consent.
* Assessment of understanding: volunteer demonstrates understanding of this study.
* Volunteers who were assigned female sex at birth: negative urine or serum beta human chorionic gonadotropin (β-HCG) pregnancy test within 4 days of enrollment visit (ie, prior to enrollment blood draw or nasal collections). Persons who are NOT of reproductive potential due to having undergone hysterectomy or bilateral oophorectomy (verified by medical records) or having reached menopause (no menses for ≥ 1 year ), are not required to undergo pregnancy testing.

Exclusion Criteria

* Reports current COVID-19.
* Pregnant.
* Receipt of SARS-CoV-2 specific antibodies (eg, convalescent plasma or sera, monoclonal antibodies, hyperimmune globulin). Not excluded: antibody therapy without SARS-CoV-2 specificity (eg, IL-6 pathway inhibitors for COVID-19).
* SARS-CoV-2 vaccine(s) received in a prior vaccine trial.
* Any medical, psychiatric, occupational, or other condition that, in the judgment of the investigator, would interfere with, or serve as a contraindication to, protocol adherence or a volunteer's ability to give informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role collaborator

HIV Prevention Trials Network

NETWORK

Sponsor Role collaborator

HIV Vaccine Trials Network

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Larry Corey

Role: STUDY_CHAIR

HIV Vaccine Trials Network, Fred Hutch

Shelly Karuna

Role: STUDY_CHAIR

HIV Vaccine Trials Network, Fred Hutch

Locations

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Alabama Vaccine CRS

Birmingham, Alabama, United States

Site Status

UCLA CARE Center CRS

Los Angeles, California, United States

Site Status

Bridge HIV CRS

San Francisco, California, United States

Site Status

George Washington University CRS

Washington D.C., District of Columbia, United States

Site Status

The Ponce de Leon Center CRS

Atlanta, Georgia, United States

Site Status

The Hope Clinic of the Emory Vaccine Center CRS

Decatur, Georgia, United States

Site Status

Adolescent & Young Adult Research at The CORE Center (AYAR at CORE)

Chicago, Illinois, United States

Site Status

New Orleans Adolescent Trials Unit CRS

New Orleans, Louisiana, United States

Site Status

Johns Hopkins University CRS

Baltimore, Maryland, United States

Site Status

Brigham and Women's Hospital Vaccine CRS (BWH VCRS)

Boston, Massachusetts, United States

Site Status

Fenway Health Clinical Research Site CRS

Boston, Massachusetts, United States

Site Status

New Jersey Medical School Clinical Research Center CRS

Newark, New Jersey, United States

Site Status

Harlem Prevention Center CRS

New York, New York, United States

Site Status

Columbia P&S CRS

New York, New York, United States

Site Status

New York Blood Center CRS

New York, New York, United States

Site Status

University of Rochester Vaccines to Prevent HIV Infection CRS

Rochester, New York, United States

Site Status

Bronx Prevention Research Center CRS

The Bronx, New York, United States

Site Status

Chapel Hill CRS

Chapel Hill, North Carolina, United States

Site Status

Penn Prevention CRS

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt Vaccine CRS

Nashville, Tennessee, United States

Site Status

Seattle Vaccine and Prevention CRS

Seattle, Washington, United States

Site Status

Malawi CRS

Lilongwe, , Malawi

Site Status

San Miguel CRS

San Miguel, Lima region, Peru

Site Status

Asociacion Civil Selva Amazonica (ACSA) CRS

Iquitos, Maynas, Peru

Site Status

CITBM - UNIDEC, Centro de Investigaciones Tecnológicas, Biomédicas y Medioambientales CRS

Bellavista, Provincia Constitucional del Callao, Peru

Site Status

Via Libra CRS

Lima, , Peru

Site Status

Barranco CRS

Lima, , Peru

Site Status

Josha Research CRS

Bloemfontein, , South Africa

Site Status

Emavundleni CRS

Cape Town, , South Africa

Site Status

Groote Schuur HIV CRS

Cape Town, , South Africa

Site Status

Khayelitsha CRS / (CIDRI UCT)

Cape Town, , South Africa

Site Status

Masiphumelele Clinical Research Site (MASI) CRS

Cape Town, , South Africa

Site Status

Chatsworth CRS

Chatsworth, , South Africa

Site Status

Botha's Hill CRS

Durban, , South Africa

Site Status

CAPRISA eThekwini CRS

Durban, , South Africa

Site Status

Vulindlela CRS

Durban, , South Africa

Site Status

Isipingo CRS

Isipingo, , South Africa

Site Status

Kliptown Soweto CRS

Johannesburg, , South Africa

Site Status

Soweto HVTN CRS

Johannesburg, , South Africa

Site Status

Aurum Institute Klerksdorp CRS

Klerksdorp, , South Africa

Site Status

Qhakaza Mbokodo Research Clinic CRS

Ladysmith, , South Africa

Site Status

Nelson Mandela Academic Research Unit CRS

Mthatha, , South Africa

Site Status

Synexus Stanza Clinical Research Centre CRS

Pretoria, , South Africa

Site Status

Rustenburg CRS

Rustenburg, , South Africa

Site Status

Setshaba Research Centre CRS

Soshanguve, , South Africa

Site Status

Tembisa Clinic 4 CRS

Tembisa, , South Africa

Site Status

The Aurum Institute Tembisa Clinical Research Centre CRS

Tembisa, , South Africa

Site Status

Tongaat CRS

Tongaat, , South Africa

Site Status

Verulam CRS

Verulam, , South Africa

Site Status

Matero Reference Clinic CRS

Lusaka, , Zambia

Site Status

St Mary's CRS

Chitungwiza, , Zimbabwe

Site Status

Zengeza CRS

Chitungwiza, , Zimbabwe

Site Status

Seke South CRS

Harare, , Zimbabwe

Site Status

Countries

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United States Malawi Peru South Africa Zambia Zimbabwe

References

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Karuna S, Gallardo-Cartagena JA, Theodore D, Hunidzarira P, Montenegro-Idrogo J, Hu J, Jones M, Kim V, De La Grecca R, Trahey M, Karg C, Takalani A, Polakowski L, Hutter J, Miner MD, Erdmann N, Goepfert P, Maboa R, Corey L, Gill K, Li SS; HVTN 405/HPTN 1901 Study Team. Post-COVID symptom profiles and duration in a global convalescent COVID-19 observational cohort: Correlations with demographics, medical history, acute COVID-19 severity and global region. J Glob Health. 2023 Jun 23;13:06020. doi: 10.7189/jogh.13.06020.

Reference Type DERIVED
PMID: 37352144 (View on PubMed)

Karuna S, Li SS, Grant S, Walsh SR, Frank I, Casapia M, Trahey M, Hyrien O, Fisher L, Miner MD, Randhawa AK, Polakowski L, Kublin JG, Corey L, Montefiori D; HVTN 405/HPTN 1901 Study Team. Neutralizing antibody responses over time in demographically and clinically diverse individuals recovered from SARS-CoV-2 infection in the United States and Peru: A cohort study. PLoS Med. 2021 Dec 6;18(12):e1003868. doi: 10.1371/journal.pmed.1003868. eCollection 2021 Dec.

Reference Type DERIVED
PMID: 34871308 (View on PubMed)

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

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5UM1AI068614-14

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HVTN 405/HPTN 1901

Identifier Type: -

Identifier Source: org_study_id

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